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Chiropractic care, by the evidence.

A plain-language summary of what systematic reviews and clinical guidelines have found.

What research says

What studies say about chiropractic care.

What published studies and clinical guidelines have found, by body area.

Lower back

A review of 26 trials found chiropractic care led to short-term improvements in pain and daily function for recent lower back pain.

JAMA, 2017 · Read the study

A review of 47 trials found chiropractic care reduced long-term lower back pain as well as exercise and other recommended options.

BMJ, 2019 · Read the study

Doctors' guidelines in the US and UK list chiropractic care among first-line, drug-free options for lower back pain, alongside exercise.

American College of Physicians, 2017 · Read the study

Neck

Guidelines based on 41 studies recommend chiropractic care, together with exercise and advice, for adults with neck pain.

JMPT guideline, 2014 · Read the study

Headaches from the neck

Guidelines recommend chiropractic care for headaches that start in the neck.

JMPT guideline, 2011 · Read the study

Shoulder

A review of 21 trials found hands-on therapy supports reducing shoulder pain from rotator cuff tendinopathy.

JOSPT, 2015 · Read the study

Sources

  1. Rubinstein SM, et al. Benefits and harms of spinal manipulative therapy for the treatment of chronic low back pain: systematic review and meta-analysis. BMJ. 2019;364:l689. Link
  2. Paige NM, et al. Association of spinal manipulative therapy with clinical benefit and harm for acute low back pain: systematic review and meta-analysis. JAMA. 2017;317(14):1451-1460. Link
  3. Qaseem A, et al. Noninvasive treatments for acute, subacute, and chronic low back pain: a clinical practice guideline from the American College of Physicians. Ann Intern Med. 2017;166(7):514-530. Link
  4. National Institute for Health and Care Excellence. Low back pain and sciatica in over 16s: assessment and management (NG59), recommendation 1.2.7. 2016, updated 2020. Link
  5. Bryans R, et al. Evidence-based guidelines for the chiropractic treatment of adults with neck pain. J Manipulative Physiol Ther. 2014;37(1):42-63. Link
  6. Bryans R, et al. Evidence-based guidelines for the chiropractic treatment of adults with headache. J Manipulative Physiol Ther. 2011;34(5):274-289. Link
  7. Desjardins-Charbonneau A, et al. The efficacy of manual therapy for rotator cuff tendinopathy: a systematic review and meta-analysis. J Orthop Sports Phys Ther. 2015;45(5):330-350. Link

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